EFTA01204621.pdf
dataset_9 pdf 228.5 KB • Feb 3, 2026 • 2 pages
Department of Homeland Security
U.S. Citizenship and Immigration Services Form I-797C, Notice of Action
THIS NOTICE DOES NOT GRANT ANY IMMIGRATION STATUS OR BENEFIT.
ASC Appointment Notice V PEUCATIOTOPETETIONIRINICEST NUMBER NOTIC E DATE
08108120I4
Wynn PMBER t*CIS AS CODE
1485 • 1765
ACCOUNT MAMMA TCR SERVICE CENTER PAGE
NBC I oft
"
KARYNA SHULIAK
do M ARDA BESKARDES i' 4 dli
417 BERGEN STREET
BROOKLYN NY 11217
To proton your application. petition. or request, the U. S. Citizattitip & Immigration Services (USCIS) must
capture your biometrics.
PLEASE APPEAR AT THE BEWWAPPLICATIONSOPPORT CENTER AT THE DATE AM's TIME
SPECITTED.
IF YOU FAIL TO APPEAR AS SCHEDULED, YOUR APPLICATION, PETITION, OR REQUEST WILL
BE CONSIDERED ABANDONED.
APPLICATION SUPPORT CENTER PLEASE READ THIS ENTIRE NOTICE CAREFULLY.
USCIS MANHATI AN DATE AND TIMt. OF AY.N.:INTMENT
08128.,20:4
201 VARICK STREET SUITE 1021, west HOUSTON STREET
I L0CIAM
ENTRANCE
NEW YORK NY 10014
WHEN YOU GO TO THE APPLICATION SUPPORT CENTER TO HAVE YOUR BIOMETRICS TAKEN,
LOU MUST BRING:
1. THLS APPOINTMENT NOTICE and
2. emir) IDENTIFICATION. Naturalization applicants must bring their Alien Resident Card.
All other applicants must bring a passport, driver's
license, national ID, military ID: or State-issued photo ID. If you appear without police identification, you will
not be fingerprinted.
CELL PHONES, CAMERAS. OR OTHER RECORDING DEVICES ARE NOT PERMITTED.
****IMPORTANT NOTICE****
When you sign your name. provide your fingerprints and arc photographed at the ASC,
you will be declaring that:
• You have willingly completed your application. petition. or request
• You have reviewed the contents of your application. petition, or retinal and of all supporting documents. applicattini,$),
petition(s). or request(e)
that you for your attorney or accredited rtplISCRUdiNC) filed with your completed application. petition, or request
and allofthc information in these
materials is co Tp?Cte. !AUG. Ind aineeet
• If you were assisted in cempleting you application, petition. or request (including supporting documents),
the person assisting you also reviewed
the Acknowledgement of Required Appoint meat at USCIS Application Support Center notice with
you:
• You understand gee you will be signify your name to the following declaration which
will be displayed to you at the time you are required to
provide your phutogropn. fongerprionsb aneVorargnaturt daring yam ASC appointment:
By st,ihle:; 'sm. l dee! v e under penalty ofpointy that! have reviewed and understand my application, petition.
or:1mA V. a identified by Me receipt ntossber displayed on the screen above, andall sUppettlir.?iTheilMentS.
a.odietitioneSt petitions's), or requal(s)filed with my application. petition, sr reeves! liar! (or my alto. so or
accredited
trpresertroilsmfiled with USCIS andriot allofthe information in these materials it complete, too.: and correct.
APPLICATION NUMBER
I IIIIIIIIIII
If you have any OrICSIETOS regarding sh s notice, please cal 1400.3715283
.
1 ., ,.
WARNING: Due to limited sealing availability in our lobby area. only persons who are necessary to
assist with hansmaamon or completing the biometrics
worksheet should accompany you. !(you hare open wounds or bandages/casts when you appear. Me USCIS
may rem-bed:de your appointment int is
determinedyour Injuries willinteger, with taking your biontetnes.
Please see the back of this notice for important information.
Form 1.797C 01102/12 Y
EFTA01204621
Department of Homeland Sectirity
U.S. Citizenship and Immigration Services Form I-797C, Notice of Action
THIS NOTICE DOES NOT GRANT ANY IMMIGRATION STATUS OR BENEFIT.
ASC Appointment Notice APPIJCATIONTETITIONERE I MST NITUER NOTICE DATE
08/08/2014
CAW WIC -.9:,,..14,111.41Z, i C
. , " :1" CODE
1485 - 1765
3
ACCOUNTNUMBER TCR SERVICE CENTER MCP:
NBC 2 of 2
REQUEST FOR RESCHEDULING
C1 Ilene reschedule my appointmeet Ocoee USC1S motion your request. you will be sent a new appointment notice. Make a
copy of this notice for
your records. Men mail the original with your request to MU Alextatdria ASC. Suite 100.8850
Richmond Hwy. Alexandria, VA 22309-1586
AMICK/10h NIAIRIFR
III I 0 IIIIIII
If yap have any yam ions reLa r(Eng this notice. plate call
11-800-375-5383.
WARNING: Due to limited searing availability in ow- lobby arra. only persons who
are necessary o assist with tronsportaiwn or completing the biometrics
worksheet should accompany. nu. floss bent open mounds or bandages/casts
when you appear, the USCIS may reschedule your appointment if it is
determined your injuries will interfere with taking your biometrics.
Please see the back of this notice for important information.
Form 1-797C 01/02/12
EFTA01204622
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- Document ID
- 19657718-25e4-4ff0-b291-8a549f097e04
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- dataset_9/EFTA01204621.pdf
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- Created
- Feb 3, 2026